Sarah is a 20 yo G1 P0 at 38 weeks with an uncomplicated pregnancy who presents at midnight with uterine contractions x 6 hours, no leaking fluid, uc’s now q5 minutes.

Cervix is FT, 30% effaced, -2 sta

 fhr

 Management?

 11 am, she is 4 cm, 90% effaced, -1, 120/70, Afeb

 11 am fhr 

Interpretation?

Options?

Is progress adequate?

11:30 am  fhr 

5 pm  she has an anterior rim, completely effaced, 0 sta   118/62, Afeb

5 pm  fhr

What is your assessment?

Plan?

6 pm she is pushing, down to +1 to +2 station

6 pm  fhr

Concerns?

Plan?

 6:30 pm outcome